Healthcare Provider Details

I. General information

NPI: 1871216416
Provider Name (Legal Business Name): VEINTASTIC SKILLZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4817 YORK ST APT 263
METAIRIE LA
70001-1147
US

IV. Provider business mailing address

1 GALLERIA BLVD STE 1900
METAIRIE LA
70001-7553
US

V. Phone/Fax

Practice location:
  • Phone: 504-406-7152
  • Fax:
Mailing address:
  • Phone: 504-345-6009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: KIM PIERCE
Title or Position: PHLEBOTOMIST
Credential:
Phone: 504-506-7152